Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $645.65 / $954.99	Facility		$354.81	$645.65	$954.99
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $870.96 / $870.96 / $1,258.93	Facility	54	$870.96	$870.96	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $691.83	Professional		$239.88	$302.00	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $501.19 / $776.25	Professional		$288.40	$501.19	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $870.96	Professional		$588.84	$741.31	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $426.58 / $691.83	Facility		$275.42	$426.58	$691.83
Moda Health Facility/Professional Facility Modifier 54 Low / Median / High Price $870.96 / $870.96 / $1,258.93	Facility	54	$870.96	$870.96	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $812.83	Professional		$389.05	$537.03	$812.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $524.81 / $602.56	Facility		$380.19	$524.81	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $407.38 / $645.65	Facility		$269.15	$407.38	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $524.81 / $776.25	Professional		$79.43	$524.81	$776.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $891.25	Facility		$562.34	$741.31	$891.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $794.33	Professional		$407.38	$588.84	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,202.26 / $6,165.95	Facility		$389.05	$1,202.26	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $758.58	Professional		$338.84	$512.86	$758.58